Changes to healthcare design and delivery involving advanced physiotherapy roles may help health systems to meet challenges imposed by ageing populations, long-term conditions and unsustainable healthcare costs. This narrative literature review examined recent peer-reviewed literature (2010-2017), including primary studies and systematic reviews, that investigated the impact of advanced physiotherapy on healthcare efficacy, efficiency, service design or perceptions (consumers or health professionals) of these advanced roles. Thirty-five studies were included that investigated advanced physiotherapy roles in primary care, emergency department, orthopaedic outpatient and rheumatology clinic contexts. Implementation of these roles was found to reduce waiting times for appointments, reduce length of stay, improve access to care, reduce other clinicians' workload in primary care and emergency departments, streamline orthopaedic surgeons' caseload, and improve patient satisfaction. Some studies observed patient recovery outcomes following advanced practice physiotherapist care, but none compared these to existing models of care. In addition, few studies explored non-musculoskeletal physiotherapy fields or the New Zealand context, and no studies investigated the impact on consumer choice. More clearly defined and consistent use of advanced physiotherapy roles within the literature would enable a better understanding of the potential impact on health care. Overall, evidence suggested that advanced physiotherapy roles may provide benefits to the public and health system when implemented in innovative, interdisciplinary and non-traditional ways.

By analyzing the narrative of Marcel's journey by the "little train" from Balbec to Douville-Féterne the essay engages with the Proust criticism of Georges Poulet, Paul de Man, and Julia Kristeva to support Hayden White's claim that "it is legitimate to read Proust's narrative as an allegory of figuration itself." Like the Madeleine episode, this one serves as a point from which retrospection and prospection radiate. Central to the discussion is the description of Verdurins' dinner party guests as they stand ready to board the train on the platform at Graincourt: their vivacity, compared to a sort of extinction, suggests a chiasmus between life and death, past and present, experience and reading, and phenomenon and figuration that enriches and integrates Poulet's phenomenological glosses, de Man's rhetorical analysis, and the Kristevan approach to Proust's text. In close proximity to the Verdurins' guests, Marcel is struck chiefly by their remoteness, their pastness, their distance: the figural and phenomenal instability of space and time finally converge in Marcel himself as Proust effects a biblical joke.

In Henry James's The Golden Bowl, the precluded hunt for the titular gift subverts Prince Amerigo's fantasy of a break with the past by allegorizing its critical liveliness even, or especially, in present efforts to make it nothing, to obscure its records, and to deny its eruptive traces. James plays with the value of "nothing," associating it with Amerigo's dreamt-of liberation from the burden of denying past contingencies and making it a lively allusion to the Prince and Charlotte's forestalled romance. The unbought, fissured bowl figures the impossible realization of the promise of "nothing" in all its competing resistances to sense.

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